ACKNOWLEDGEMENT FORM. The Old Colony Regional Vocational Technical High School is registered under the provisions of M.G.L. c. 6, §
ACKNOWLEDGEMENT FORM. The City of Sugar Hill assures that no person shall on the grounds or race, color, national origin or sex as provided by Title VI of the Civil Rights Act of 1964, and the Civil Rights Restoration Act of 1987 be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any City or County sponsored program or activity. The City of Sugar Hill assures that every effort will be made to ensure nondiscrimination in all of its programs or activities, whether those programs are federally funded or not. Assurance of compliance therefore falls under the proper authority of the City Council or the County Board of Commissioners. The Title VI Coordinator or Liaison is authorized to ensure compliance with provisions of this policy and with the Law, including the requirements of 23 Code of Federal Regulations (CFR) 200 and 49 CFR 21. Xxxx Xxxxxxxxxxx – City Clerk Date Title VI of the Civil Rights Act of 1964; 42 USC 2000d to 2000d-4;42 USC 4601to 4655;23 USC 109(h); 23 USC 324; DOT Order 1050.2; EO 12250; EO 12898; 28CFR 50.3 The 1970 Uniform Act (42 USC 4601) Section 504 of the 1973 Rehabilitation Act (29 USC 790) The 1973 Federal-aid Highway Act (23 USC 324) The 1975 Age Discrimination Act (42 USC 6101) Implementing Regulations (49 CFR 21& 23 CFR 200) Executive Order 12898 on Environmental Justice (EJ) Executive Order 13166 on Limited English Proficiency (LEP) During the performance of this contract, the SPONSOR/ LOCAL GOVERNMENT, for itself, its assignees, and successors in interest (hereinafter referred to as the "SPONSOR"), agree as follows:
ACKNOWLEDGEMENT FORM. I am the parent or legal guardian of the Student. I consent to my child’s use of the school issued Google Chromebook, and other District approved apps at school and/or at home, and agree to the foregoing terms and conditions applicable to such use.
ACKNOWLEDGEMENT FORM. I acknowledge that I have been given a copy of the Employee Proprietary Information and Inventions Agreement, that I have read it, and that I understand its terms and procedures. Furthermore, I agree to abide by it and understand that if Lumos Pharma determines my conduct warrants it, I may be subject to discipline for breaches hereof, up to and including the immediate termination of my employment. Xxxxx Xxxxxxxxx Employee’s Name (Please Print) /s/ Xxxxx Xxxxxxxxx Employee’s Signature 4/8/20 Date EXHIBIT B [To be signed on or within twenty-one (21) days after the Separation Date] My employment with Lumos Pharma, Inc. (the “Company”) ended in all capacities on (the “Separation Date”). I hereby confirm that I have been paid all compensation owed to me by the Company for all hours worked; I have received all the leave and leave benefits and protections for which I was eligible, pursuant to the Company’s policies, applicable law, or otherwise; and I have not suffered any on-the-job injury or illness for which I have not already filed a workers’ compensation claim. If I choose to enter into this Release and allow it to become effective by its terms, the Company will provide me with certain severance benefits pursuant to the terms of the Employment Agreement between me and the Company dated , 2019 (the “Agreement”). I understand that I am not entitled to such severance benefits unless I return this fully-executed Release to the Company within twenty-one (21) days after the Separation Date, and allow this Release to become fully effective and non-revocable by its terms. (Capitalized terms used but not defined in this Release shall have the meaning ascribed to them in the Agreement.) In exchange for the severance benefits to which I would not otherwise be entitled, I hereby generally and completely release the Company and its directors, officers, employees, shareholders, partners, agents, attorneys, predecessors, successors, parent and subsidiary entities, insurers, affiliates, and assigns (collectively, the “Released Parties”) from any and all claims, liabilities and obligations, both known and unknown, arising from or in any way related to events, acts, conduct, or omissions occurring prior to or at the time that I sign this Release, including but not limited to claims arising from or in any way related to my employment with the Company or the termination of that employment (collectively, the “Released Claims”). By way of example, the Released claims include, bu...
ACKNOWLEDGEMENT FORM. The Student receiving an laptop/iPad and his/her Parent/Legal Guardian have completely and carefully read all of the content in this Agreement, and do hereby agree to abide by the policies and procedures contained herein. RCS reserves the right to make changes to this document to address future technology developments or curriculum needs.
ACKNOWLEDGEMENT FORM. Your signature below indicates that you have read the Client Services Agreement and agree to its terms and also serves as an acknowledgement that you have received the HIPPA Notice Form described above.
ACKNOWLEDGEMENT FORM. The assures that no person shall on the grounds or race, color, national origin or sex as provided by Title VI of the Civil Rights Act of 1964, and the Civil Rights Restoration Act of 1987 be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any City or County sponsored program or activity. The assures that every effort will be made to ensure non- discrimination in all of its programs or activities, whether those programs are federally funded or not. Assurance of compliance therefore falls under the proper authority of the City Council or the County Board of Commissioners. The Title VI Coordinator or Liaison is authorized to ensure compliance with provisions of this policy and with the Law, including the requirements of 23 Code of Federal Regulations (CFR) 200 and 49 CFR 21. Official Name and Title Date Title VI of the Civil Rights Act of 1964; 42 USC 2000d to 2000d-4;42 USC 4601to 4655;23 USC 109(h); 23 USC 324; DOT Order 1050.2; EO 12250; EO 12898; 28CFR 50.3 The 1970 Uniform Act (42 USC 4601) Section 504 of the 1973 Rehabilitation Act (29 USC 790) The 1973 Federal-aid Highway Act (23 USC 324) The 1975 Age Discrimination Act (42 USC 6101) Implementing Regulations (49 CFR 21& 23 CFR 200) Executive Order 12898 on Environmental Justice (EJ) Executive Order 13166 on Limited English Proficiency (LEP)
ACKNOWLEDGEMENT FORM. I have read the Student Technology Use Agreement, or someone has read and explained it to me. I agree to use DCPS devices and the DCPS network responsibly under the rules listed in the Agreement. I understand that if I do not follow these rules, I may face consequences under DCPS discipline rules and policies, including Chapter 25, and my use of DCPS devices and the DCPS network may be restricted.
ACKNOWLEDGEMENT FORM. This signed form must be provided prior to participating in any league sponsored events including practices
ACKNOWLEDGEMENT FORM. (a) ACSA requires a Proponent confirm whether or not it intends to submit a Proposal by signing and submitting to ACSA the Acknowledgement included within Exhibit A to this RFP (the "Acknowledgement").
